DEPARTMENT OF INSURANCE

Name	Deacon Jr, Jack M	DOIID	597142	NAIC NPN	3616568

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date	Designated Home State
Inactive	Non Resident	Independent Adjuster	Property & Casualty	10/15/2004	7/31/2018

*If a status is Pending, Pending Replacement,or the record displays Affidavit on File, click on them for more details.

No License Renewal Information

NOTE: Licensee may renew up to 6 months prior to Next Compliance Date. Licensees subject to CE must complete CE requirements before Next Compliance Date in order to successfully complete the License Renewal Process.

Address Information

Type	Address
Residence	Not Public Information
Business / Home Office	Qbe 210 Interstate North Pkwy Se Ste 400Atlanta, GA 303392233
Mailing	Sedgwick CMS PO Box 105166Atlanta, GA 30348

Internet Information

Type	Address
Business Email	jdeacon@sedgwickcms.com - Bad Email-Correction requested

Phone Information

Type	Phone
Business / Home Office	(770) 433-8211 Ext-83041